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A Japanese perspective on crisis intervention

Y Ishikawa1

  • 1Department of Psychopathology, Tokyo Institute of Psychiatry, Japan.

Psychiatry and Clinical Neurosciences
|May 1, 1995
PubMed
Summary

This study outlines crisis intervention strategies for difficult cases, emphasizing rapid relationship-building and community care. It compares Japanese and Western approaches, advocating for integrated mental health services.

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Area of Science:

  • Psychiatry
  • Mental Health Services
  • Crisis Intervention

Background:

  • Challenges in treating 'difficult cases' require specialized crisis intervention.
  • Existing psychiatric emergency services may lack comprehensive community-based support.

Purpose of the Study:

  • To detail general rules for crisis intervention based on clinical experience.
  • To compare Japanese crisis intervention trends with Western models.
  • To highlight the need for integrated community care in psychiatric emergencies.

Main Methods:

  • Case experience in therapy and crisis intervention for complex cases.
  • Comparative analysis of Japanese and Western psychiatric emergency systems.
  • Review of therapeutic team's intervention protocols.

Main Results:

  • Effective crisis intervention involves rapid relationship-building with patients and families.
  • Follow-up treatment with all involved parties is crucial.
  • Japanese crisis intervention shows distinct trends compared to Western services.

Conclusions:

  • Establishing comprehensive, ongoing community care is essential for successful psychiatric emergency systems in Japan.
  • Integrating community-based support enhances crisis response effectiveness.
  • Adapting Western models with local context is key for Japanese mental health services.

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